Walnuts for Cardiovascular Health

FM
TD
Overseen ByTatiana Diacova, MS, RDN
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, Davis
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines how eating walnuts affects cholesterol, inflammation, and gut bacteria. Participants will consume either 56 grams of walnuts daily or follow a no-nut diet for three weeks. The researchers aim to determine if walnuts can improve heart health by altering cholesterol and inflammation levels. This trial may suit overweight or obese men and postmenopausal women with high LDL cholesterol. As an unphased study, it offers a unique opportunity to contribute to understanding the potential health benefits of walnuts.

Will I have to stop taking my current medications?

If you are taking medications or supplements that affect metabolism or gut bacteria, like Metformin, statins, or antibiotics, you may need to stop them to participate in this trial. The protocol does not specify a washout period, but these medications are part of the exclusion criteria.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that eating walnuts is safe for most people. Many studies have found that walnuts can lower the risk of heart disease and help control blood pressure. They contain healthy fats that might help reduce cholesterol levels.

Side effects from eating walnuts are uncommon. Most people tolerate them well. However, some might experience mild stomach issues, like bloating, if they aren't accustomed to eating nuts.

Overall, walnuts are a healthy choice and offer many heart health benefits. They have been widely studied and are considered safe to eat regularly.12345

Why are researchers excited about this trial's treatments?

Unlike standard cardiovascular treatments that often include medications like statins or lifestyle changes involving diet and exercise, walnuts offer a unique, natural approach. Researchers are excited about this treatment because walnuts are rich in omega-3 fatty acids, which are known to support heart health. Additionally, consuming walnuts is simple and could easily fit into daily routines, potentially enhancing adherence compared to more complex medication regimens. This approach might not only improve cardiovascular health but also provide a delicious and nutritious alternative to traditional treatments.

What evidence suggests that walnuts might be an effective treatment for cardiovascular health?

Research shows that eating walnuts benefits heart health. Studies have found that walnuts lower total cholesterol and LDL cholesterol, often called "bad" cholesterol, both linked to heart disease. Walnuts also reduce inflammation and have antioxidant effects, protecting blood vessels. Additionally, walnuts improve the balance of fats in the blood, potentially lowering heart disease risk. This trial will compare the effects of a walnut diet with a no-nut diet to further evaluate walnuts' potential heart health benefits. Overall, walnuts appear to be a promising food for improving heart health.24678

Are You a Good Fit for This Trial?

This trial is for overweight and obese men and postmenopausal women aged between 45-70, with a BMI of 25.0-39.9 kg/m2 and higher levels of 'bad' cholesterol (LDL-C between 130-189 mg/dL).

Inclusion Criteria

I am 45-70 years old, overweight or obese, and have high LDL cholesterol levels.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 week
1 visit (in-person)

Run-in

Participants undergo a 1-week run-in period to become accustomed to the study diet

1 week
1 visit (in-person)

Diet Intervention 1

Participants follow either a walnut or no-nut diet for 3 weeks

3 weeks
1 visit (in-person)

Washout

Participants undergo a 3-week washout period between diet interventions

3 weeks
1 visit (in-person)

Diet Intervention 2

Participants switch to the alternate diet (walnut or no-nut) for 3 weeks

3 weeks
1 visit (in-person)

Follow-up

Participants are monitored for changes in cardiometabolic biomarkers and gut microbiota

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • No-nut diet
  • Walnuts
Trial Overview The study is examining the effects of eating walnuts on heart health markers like good and bad cholesterol, inflammation in the blood, as well as gut bacteria compared to a no-nut diet.
How Is the Trial Designed?
2Treatment groups
Active Control
Group I: No-nut dietActive Control1 Intervention
Group II: Walnut dietActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, Davis

Lead Sponsor

Trials
958
Recruited
4,816,000+

Published Research Related to This Trial

A meta-analysis of 13 randomized controlled trials involving walnut intake showed significant reductions in total cholesterol (TC), low-density lipoprotein (LDL-C), and triglycerides (TG), indicating that walnuts can improve blood lipid profiles and potentially reduce cardiovascular disease risk.
The study found that individuals who were overweight or had comorbidities experienced greater improvements in lipid levels with walnut consumption, suggesting that walnuts may be particularly beneficial for these populations.
The Effect of Walnut Intake on Lipids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Alshahrani, SM., Mashat, RM., Almutairi, D., et al.[2022]
In a study involving 40 healthy participants aged 50 and older, consuming 43g of walnuts daily for 8 weeks significantly reduced non-HDL cholesterol and apolipoprotein-B levels, which are important markers related to heart disease risk.
Despite these positive changes in cholesterol levels, other factors such as fasting glucose, insulin, and markers of inflammation and endothelial function did not show significant changes, indicating that walnuts may specifically target lipid profiles without affecting other metabolic parameters.
Walnut-enriched diet reduces fasting non-HDL-cholesterol and apolipoprotein B in healthy Caucasian subjects: a randomized controlled cross-over clinical trial.Wu, L., Piotrowski, K., Rau, T., et al.[2022]
A systematic review and meta-analysis of 139 studies found that consuming tree nuts and peanuts significantly reduces several cardiovascular disease (CVD) risk factors, including LDL cholesterol, total cholesterol, and triglycerides.
Despite the positive findings, the overall quality of evidence was low for many outcomes, indicating that while nuts can contribute to CVD risk reduction, further high-quality research is needed to confirm these benefits.
Tree Nut and Peanut Consumption and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Houston, L., Probst, YC., Chandra Singh, M., et al.[2023]

Citations

Nutritional Advantages of Walnut (Juglans regia L.) for ...Epidemiological and clinical research indicates that daily walnut consumption can reduce the risk of CVDs like coronary heart disease and stroke. Walnuts may ...
Unlocking the Cardiovascular Benefits of Walnuts: Insights on ...Walnuts improve heart and vascular function, improve FA profile, reduce triglyceride and cholesterol, and have anti-inflammatory, antioxidant, ...
Astounding the synergistic interplay of walnuts in ...The results showed that walnut leaf extracts effectively decrease total cholesterol (TC), fasting blood sugar (FBS), low-density lipoprotein cholesterol (LDLc), ...
Effects of walnut consumption on blood lipids and other ...The results indicated that diets supplemented with walnuts significantly decreased total and LDL cholesterol, beyond that of the comparator diets. Since then, ...
5.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39803290/
Nutritional Advantages of Walnut (Juglans regia L.) for ...Epidemiological and clinical research indicates that daily walnut consumption can reduce the risk of CVDs like coronary heart disease and stroke ...
6.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/25747270/
Walnuts (Juglans regia) Chemical Composition and ...Many health benefits have been claimed for the consumption of these, including reduced risk of cardiovascular disease, coronary heart disease, type II diabetes ...
English Walnut - Uses, Side Effects, and MoreThe nut of the English walnut contains chemicals called fatty acids, which might be useful as part of a cholesterol-lowering diet.
A review of phytochemistry and pharmacology profile ...It is known for its wide array of benefits which includes its use in cardiovascular disease, type II diabetes mellitus, anti-infectives, anti-microbial, anti- ...
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